SUJA JOHNKUTTY M.D. P.L.L.C. NPI 1700098852

NPI Information

  • NPI: 1700098852
  • Provider Name: SUJA JOHNKUTTY, M.D., P.L.L.C.
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 33 WALT WHITMAN ROAD
    SUITE 201
    HUNTINGTON STATION, NY
    ZIP 11746
  • Phone: (631) 385-8558

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NPI Details

SUJA JOHNKUTTY, M.D., P.L.L.C. is a neurology psychiatry neurology in Huntington Station, NY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. SUJA JOHNKUTTY, M.D., P.L.L.C. NPI is 1700098852. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

33 WALT WHITMAN ROAD
SUITE 201
HUNTINGTON STATION, NY
ZIP 11746-276
Phone: (631) 385-8558
Fax: (631) 385-8010

The provider's authorized official is Suja Johnkutty .
The authorized official title is Physician and has the following contact phone number (631) 385-8558.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 5/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyNo
22084N0400XPsychiatry & NeurologyNeurology216285NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WWS671MEDICARE PIN
2G400045122MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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